Organization
PREMIER EYE GROUP INC
Active
Other names
JADE OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS CUEVAS OD (OWNER/OFFICER)
(305) 385-6885
Entity
Organization
Contact information
Practice address
13852 SW 88TH ST, MIAMI, FL 33186-1304
(305) 804-0645
(305) 380-7106
Mailing address
9549 NW 41ST ST, DORAL, FL 33178-2371
(305) 804-0645
(305) 380-7106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC 4122
OPTOMETRY LICENSE NUMBER
FL
Enumeration date
12/27/2011
Last updated
04/01/2013
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